Organization
COUNSELING CONSULTING AND SUPERVISION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN L JOHNSON MA, CRC, LPC (CLINICAL DIRECTOR)
(248) 716-8029
Entity
Organization
Contact information
Practice address
25701 W 12 MILE RD, # 305, SOUTHFIELD, MI 48034-1822
(248) 716-8029
Mailing address
25701 W 12 MILE RD, # 305, SOUTHFIELD, MI 48034-1822
(248) 716-8029
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401012467
MI
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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